Long Term Care - Who's Going to Pay For It?

If you survive a stroke, a heart attack, or cancer,hour, Home Health Aides are $18.00/hour. Right now!
you are going to need long term care. Your ageWho pays for it? You pay for it. You spend all your
doesn't matter. You will need time to rehabilitate.cash. When you run out of cash, you sell your house,
That's a long term event, period. You are going toand you pay. When that cash is gone, when you are
need long term care of some kind; either you go intoflat broke, Medicaid steps in and puts you up in a
a facility, or you stay with somebody.facility of their choosing. You have no input.
Who pays for it? You sure won't be earning any(Remember, you're flat broke and recovering from a
money for a while after a stroke. So who pays forstroke or heart attack.)
it? Your kids? Does your daughter have an extraThere are State Partnership Programs for people
$75,000 in her budget that she doesn't need, everywith Long Term Care insurance (LTCi), but nothing
year? Can your son take time off work to sit withexcept Medicaid for the indigent. So here we are:
you 24/7 until you recover when you are 85 or 90?72,000,000 baby boomers are about to become
And how old will your kids be then? Are they alreadySenior Citizens and will face a new reality. This isn't a
retired or about to? Will they have planned for theirreality show, but it is all about being a survivor. 1.7
retirement including long term care for you?million people will have a heart attack this year and
Maybe your grandchildren can provide for you...and1.2 million of them will survive. 700,000 will have a
their parents. That shouldn't totally interfere with theirstroke and 500,000 of them will survive. Without
lives at what, 35 or 40? They would be raising theirLong Term Care insurance, the scenario above
kids then, putting them in college, just building theirapplies to each and every one of those survivors. For
own estate. What a great time to say, "I needmany, it is already too late to buy Long Term Care
someone to look after me".insurance, because they are now uninsurable. For
Otherwise, you are responsible for your own care.more, sadly, by the time they reach their Golden
You pay for it. If you are on Medicare that will giveYears, they cannot write a check for $600, and can't
you 21 days in a nursing home immediately after youpossibly afford the cost of buying insurance later in
are released from the hospital. Total. So when youlife. They have no option. They will eventually go into
are released from the hospital you will need to goa Medicaid facility. Are you in either of those groups?
directly into a facility for three weeks after a heartI hope not.
attack. By the time you are ready to leave theDon't buy Long Term Care Insurance out of fear.
hospital you would have to make arrangements toThat's what it says on the US Department of Health
be somewhere that you can have assistance whenand Human Services website. Don't buy Long Term
you need it. Hopefully that is a very long way off.Care insurance if you don't have assets other than
Nursing homes in today's dollars run about $75,000your house, maybe. Don't buy LTCi if you like to
year and you can last anywhere from two to tenswim in shark infested waters, sure, or you play
years if you go into one. By the time you are 85 orRussian roulette a lot. But for everyone else, not
90 that will be more. Assisted living centers are a littlebuying LTCi is a lot like playing Russian roulette
less, depending on the level of care you need. Visitinganyway. It's just plain dumb!
Nurses charge the Medicare approved rate of $46.00